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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Management of antithrombotic drugs in association with endoscopic procedures

Fernando Alberca-de-Las-Parras, Francisco Marín, Vanessa Roldán-Schilling

    Revista Espanola De Enfermedades Digestivas
    |May 9, 2015
    PubMed

    Insights

    Managing patients on antithrombotic drugs undergoing endoscopy requires balancing bleeding and thrombosis risks. This guide offers clinical answers and protocols for safe endoscopic procedures in these common scenarios.

    Area of Science:

    • Cardiology
    • Gastroenterology
    • Hematology

    Background:

    • Antithrombotic drug use (anticoagulants, antiplatelets) is rising due to increased cardiovascular risk awareness.
    • Endoscopic procedures in patients on these therapies are becoming more frequent.
    • Managing these patients involves complex decisions balancing bleeding and thrombosis risks.

    Purpose of the Study:

    • To provide clinical guidance for endoscopists managing patients on antithrombotic therapy.
    • To outline action algorithms and practical protocols for endoscopy units.
    • To facilitate informed decision-making regarding antithrombotic drug management during endoscopic procedures.

    Main Methods:

    • Consensus development involving four scientific societies.
    • Review of pharmacology, indications, and risks of antithrombotic drugs.
    • Development of clinical answers, action algorithms, and protocol proposals.

    Main Results:

    • Clinical answers addressing the use of antiplatelets and anticoagulants.
    • Action algorithms to guide decision-making.
    • A practical protocol proposal for endoscopy units.

    Conclusions:

    • Understanding antithrombotic drug management is crucial for safe endoscopy.
    • Collaboration between endoscopists, cardiologists, and hematologists is essential.
    • Standardized protocols can mitigate risks associated with endoscopy in patients on antithrombotics.

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